- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $25.12 / $38.02 / $446.68
| Facility | | $25.12 | $38.02 | $446.68 |
- Facility/Professional
- Facility
- Modifier
- QK
- Typical Low / Median / Typical High
- $158.49 / $158.49 / $812.83
| Facility | QK | $158.49 | $158.49 | $812.83 |
- Facility/Professional
- Facility
- Modifier
- QX
- Typical Low / Median / Typical High
- $131.83 / $338.84 / $676.08
| Facility | QX | $131.83 | $338.84 | $676.08 |
- Facility/Professional
- Professional
- Modifier
- AA
- Typical Low / Median / Typical High
- $269.15 / $741.31 / $1,071.52
| Professional | AA | $269.15 | $741.31 | $1,071.52 |
- Facility/Professional
- Professional
- Modifier
- QK
- Typical Low / Median / Typical High
- $141.25 / $363.08 / $616.60
| Professional | QK | $141.25 | $363.08 | $616.60 |
- Facility/Professional
- Professional
- Modifier
- QX
- Typical Low / Median / Typical High
- $162.18 / $371.54 / $758.58
| Professional | QX | $162.18 | $371.54 | $758.58 |
- Facility/Professional
- Professional
- Modifier
- QY
- Typical Low / Median / Typical High
- $162.18 / $346.74 / $549.54
| Professional | QY | $162.18 | $346.74 | $549.54 |
- Facility/Professional
- Professional
- Modifier
- QZ
- Typical Low / Median / Typical High
- $269.15 / $489.78 / $758.58
| Professional | QZ | $269.15 | $489.78 | $758.58 |
- Facility/Professional
- Professional
- Modifier
- AA
- Typical Low / Median / Typical High
- $100.00 / $120.23 / $457.09
| Professional | AA | $100.00 | $120.23 | $457.09 |
- Facility/Professional
- Professional
- Modifier
- QK
- Typical Low / Median / Typical High
- $42.66 / $51.29 / $60.26
| Professional | QK | $42.66 | $51.29 | $60.26 |
- Facility/Professional
- Professional
- Modifier
- QX
- Typical Low / Median / Typical High
- $42.66 / $61.66 / $257.04
| Professional | QX | $42.66 | $61.66 | $257.04 |
- Facility/Professional
- Professional
- Modifier
- QY
- Typical Low / Median / Typical High
- $50.12 / $50.12 / $61.66
| Professional | QY | $50.12 | $50.12 | $61.66 |
- Facility/Professional
- Professional
- Modifier
- QZ
- Typical Low / Median / Typical High
- $100.00 / $102.33 / $457.09
| Professional | QZ | $100.00 | $102.33 | $457.09 |
- Facility/Professional
- Professional
- Modifier
- AA
- Typical Low / Median / Typical High
- $100.00 / $181.97 / $245.47
| Professional | AA | $100.00 | $181.97 | $245.47 |
- Facility/Professional
- Professional
- Modifier
- QX
- Typical Low / Median / Typical High
- $30.20 / $63.10 / $114.82
| Professional | QX | $30.20 | $63.10 | $114.82 |
- Facility/Professional
- Professional
- Modifier
- QZ
- Typical Low / Median / Typical High
- $70.79 / $125.89 / $194.98
| Professional | QZ | $70.79 | $125.89 | $194.98 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $33.11 / $2,187.76 / $3,981.07
| Facility | | $33.11 | $2,187.76 | $3,981.07 |
- Facility/Professional
- Professional
- Modifier
- AA
- Typical Low / Median / Typical High
- $89.13 / $89.13 / $89.13
| Professional | AA | $89.13 | $89.13 | $89.13 |
- Facility/Professional
- Professional
- Modifier
- QZ
- Typical Low / Median / Typical High
- $54.95 / $75.86 / $79.43
| Professional | QZ | $54.95 | $75.86 | $79.43 |